Individual provider Active NPI

Geneth Kay Wolfer, D.O.

  • Internal Medicine Physician
  • Sparta, TN
National Provider Identifier
1053462168
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
TN DO 000612 Issued in TN
Practice address
1060 Golden Mountain Rd
Sparta, TN 38583-1120
Phone
(931) 933-5743
Fax
(931) 933-5743
NPI assigned
Jan 15, 2007
Last updated
Jan 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TN DO 000612 TN Primary

Addresses

Primary practice location

1060 Golden Mountain Rd
Sparta, TN 38583-1120

Mailing address

1060 Golden Mountain Rd
Sparta, TN 38583-1120
Phone (423) 802-2249

Other identifiers 1

IdentifierTypeStateIssuer
3301678MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070530000597 TN Practitioner - Internal Medicine 9032217948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1060 Golden Mountain Rd
Sparta, TN 38583-1120
Phone (931) 256-7782

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
612TNMDMarriage & Family Therapist
TN DO 000612TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Home Doctors, LLC CurrentSince Feb 13, 2017 Accepting new patients
Joseph L. Bowers, MD PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18414/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1053462168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GOLDEN MOUNTAIN RD",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831120",
            "telephone_number": "423-802-2249",
            "fax_number": "931-284-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GOLDEN MOUNTAIN RD",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831120",
            "telephone_number": "931-933-5743",
            "fax_number": "931-933-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFER",
        "first_name": "GENETH",
        "middle_name": "KAY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "TN DO 000612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3301678",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, TN

Sources for this page

Verify at the official NPI Registry.